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Isolated Nodular Infarction
Open accessAbstract
Background and Purpose— Isolated nodular infarction has rarely been described in human. The purpose of this study is to report clinical and laboratory findings of isolated nodular infarction. Methods— Eight patients with isolated nodular infarction were recruited from 6 hospitals in Korea. All patients underwent a complete and standardized neurotological evaluation including ocular torsion, bithermal caloric tests, and rotatory chair test in addition to MRI and MR angiography. Results— All patients presented with isolated vertigo and moderate to severe imbalance. The most common manifestation was unilateral nystagmus and falling in the opposite direction, which mimicked peripheral vestibulopathy. Six patients had unilateral lesion, and 2 showed bilateral lesions. The direction of the spontaneous nystagmus was all ipsilesional in the unilateral lesion. However, head impulse and bithermal caloric tests were normal. Other findings include periodic alternating nystagmus, perverted head shaking nystagmus, paroxysmal positional nystagmus, and impaired tilt suppression of the postrotatory nystagmus. Hypoplasia of the ipsilesional vertebral artery was the only abnormal finding on MR angiography in 3 patients. The prognosis was excellent. Conclusions— Isolated nodular infarction mostly presents with isolated vertigo mimicking acute peripheral vestibulopathy. However, severe imbalance and a negative head impulse test are important clinical discriminants between nodular infarcts and peripheral vestibular dysfunction. The findings of isolated nodular infarctions are consistent with impaired gravito-inertial processing of the vestibular signals and disrupted nodular inhibition on the vestibular secondary neurons and the velocity storage mechanism.
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“Reviews found that psychotherapies for mood symptoms following acquired brain injury either have small short-term effects or the effects did not differ from control conditions.4–8”
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“The evidence for the effectiveness of psychotherapies for depression symptoms is less robust for patients with brain injury than for depressed patients without brain injury.”
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Cerebellar nodulus infarction secondary to vertebral artery dissection
Lance, S., & Thomson, T. (2019) · BMJ Case Reports · doi:10.1136/bcr-2019-229876 · Cited by 4
Neuro-Behçet's Disease Presenting as Isolated Vestibular Syndrome
Park, E., Lee, S., Kim, H., Choi, J., Im, G. J., Yu, S., & Kim, J. (2020) · Journal of Clinical Neurology · doi:10.3988/jcn.2020.16.3.499 · Cited by 4
Self-citationKim, J. S., & Caplan, L. R. (2015) · Elsevier eBooks · doi:10.1016/b978-0-323-29544-4.00026-8 · Cited by 4
Self-citationKim, H. S., Choi, J., Oh, E. H., Choi, S., & Choi, K. (2024) · European Journal of Neurology · doi:10.1111/ene.70010 · Cited by 3
Self-citationOcular Tilt Reaction due to a Cerebellar Hemorrhage
Tsuda, H., & Tanaka, K. (2014) · Internal Medicine · doi:10.2169/internalmedicine.53.2529 · Cited by 3
Progressive Ataxia and Downbeat Nystagmus in an Adult
Fernández, A. C., Antón, B. H., & García‐Moncó, J. C. (2021) · JAMA Neurology · doi:10.1001/jamaneurol.2021.1205 · Cited by 3
Direction-changing spontaneous nystagmus in cerebellopontine angle tumour
Jeong, H., Lee, D., Shin, J. E., & Kim, C. (2021) · Journal of Clinical Neuroscience · doi:10.1016/j.jocn.2021.12.002 · Cited by 3
Metadata
- Authors
- Moon, I. S., Kim, J. S., Choi, K. D., Kim, M.-J., Oh, S.-Y., Lee, H., Lee, H.-S., & Park, S.-H.
- Affiliations
- Seoul National University (KR)
- From the Department of Neurology (I.S.M.), Daedong Hospital, Pusan; Seoul National University Bundang Hospital (J.S.K., S.-H.P.), Seoul National University College of Medicine; Pusan National University School of Medicine and Medical Research Institute (K.D.C.); Kosin University College of Medicine (M.-J.K.), Pusan; Chonbuk National University College of Medicine (S.-Y.O.), Jeonju; Keimyung University School of Medicine (H.L.), Daegu; and Wonkwang University School of Medicine (H.-S.L.), Iksan, Korea.
- Venue
- Stroke
- Published
- 2009-02
- Volume
- 40
- Issue
- 2
- Pages
- 487-491
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- OpenAlex
- W2083577100
- Cited by
- 135
- References
- 41
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 8 · 2021: 6 · 2020: 7 · 2019: 9 · 2018: 11 · 2017: 2 · 2016: 9 · 2015: 8 · 2014: 11 · 2013: 13 · 2012: 12
- FWCI
- 4.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Stroke (publishedVersion)
- PubMed (publishedVersion)
- KUMeL Repository (Keimyung University) (submittedVersion, cc-by-nc-nd)
- Seoul National University Open Repository (Seoul National University) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cerebrovascular and Carotid Artery Diseases
- Keywords
- vestibular schwannoma, vertigo, head impulse test, bithermal caloric test, vertebral artery hypoplasia, velocity storage, postrotatory nystagmus
- MeSH terms
- Adult, Aged, Caloric Tests, Cerebellum, Cerebral Angiography, Cerebral Infarction, Brain Ischemia, Postural Balance, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neurologic Examination, Nystagmus, Pathologic, Reflex, Vestibulo-Ocular, Sensation Disorders, Vertigo, Vestibular Function Tests, Magnetic Resonance Angiography, Young Adult
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
